The influence of physical function on the risk of falls among adults with rheumatoid arthritis

Marques, Wanessa Vieira; Cruz, Vítor Alves; Rêgo, Jozélia; Silva, Nílzio Antônio da

doi:10.1016/j.rbre.2014.03.019

Cited by 4 publications

(5 citation statements)

References 22 publications

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“…Fear of falling was associated to the retrospective assessment of falls, as seen by Stanmore et al [ 39 ] and Gaino et al [ 36 ], but not in the prospective one as most of the studies [ 6 , 35 , 40 , 41 ]. Few patients presented repeated falls in the retrospective and prospective assessments and that could be related to the post-fall syndrome in which a reduction of overall mobility and daily activities is observed after the first fall [ 42 ].…”

Section: Discussionmentioning

confidence: 98%

Evaluation of peripheral neuropathy in lower limbs of patients with rheumatoid arthritis and its relation to fall risk

2022

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Background Rheumatoid Arthritis (RA) is a chronic disabling systemic disease characterized by joint inflammation, and extra-articular manifestations, including peripheral neuropathy, a condition that can be associated with changes in muscle strength, proprioception and postural balance contributing for the risk of falls. The objective of this study is to analyze the incidence of peripheral neuropathy in patients with RA and its association with the occurrence of falls. Methods Patients were assessed by an electroneuromyography (ENMG) exam and by a questionnaire on accidental falls occurrence in the previous 12 months. They were also assessed on balance by the Short Physical Performance Battery (SPPB), functionality by the Health Assessment Questionnaire (HAQ), disease activity by the Disease Activity Score (DAS-28), neuropathic pain by the Questionnaire for the Diagnosis of Neuropathic Pain (DN4), and cutaneous sensitivity of the feet by the monofilament testing of Semmes–Weinstein. Monthly calls on falls were made in the subsequent six months. Data analysis was performed using the Shapiro–Wilk test for normality and Spearman, Chi-square, and T-student correlation tests, with a significant P level ≤ 0.05. Results A sample of 33 patients were evaluated. The incidence of peripheral neuropathy was 48.5%, of which 68.7% were axonal and 31.3% myelinic. The sensorimotor type was present in 64.7%, motor in 17.6%, and sensorial in 11.7% of the cases. Neuropathy was associated to balance (P = 0.026), neuropathic pain (P = 0.016), deep tendon reflexes absence (P = 0,049), altered skin sensitivity of the feet (P = 0.029) and fear of falling (P = 0.001). No association was found between peripheral neuropathy and age, gender, disease activity, or functionality. No significant association was found between peripheral neuropathy and occurrence of falls, in a 12-month retrospective and 6-month prospective evaluation. Conclusion Peripheral neuropathy has a high incidence in patients with RA, and is related to neuropathic pain, altered postural balance, but not to the occurrence of falls.

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Section: Discussionmentioning

confidence: 98%

Evaluation of peripheral neuropathy in lower limbs of patients with rheumatoid arthritis and its relation to fall risk

2022

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“…The literature on falls after THA identifies several risk factors for falls, including polypharmacy, which may be applicable to our patient population because the majority of the SLE group were taking immunosuppressant medications compared with < 1% of the patients with OA 13 . Finally, functional status and strength are also well-known protective factors against falls, including in postoperative total joint arthroplasty patients and in those with rheumatic disease 15,16 . Finally, functional status and strength are also well-known protective factors against falls, including in postoperative total joint arthroplasty patients and in those with rheumatic disease 15,16 .…”

Section: Discussionmentioning

confidence: 99%

Patients with Systemic Lupus Erythematosus Have Increased Risk of Short-term Adverse Events after Total Hip Arthroplasty

Roberts

Mandl

Su³

et al. 2016

J Rheumatol

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“…There was no statistically significant correlation between functional capacity and risk of falls. However, some studies have identified that functional incapacity was the main factor associated with the risk of falls (5,15) . Conversely, falls are also important causal factors for increased dependence among the elderly, with consequent damage to their functionality (15) .…”

Section: Discussionmentioning

confidence: 99%

“…However, some studies have identified that functional incapacity was the main factor associated with the risk of falls (5,15) . Conversely, falls are also important causal factors for increased dependence among the elderly, with consequent damage to their functionality (15) . It should be noted that independent elderly people in all dimensions of the Functional Independence Measure presented a low risk for falls, a positive situation that should be maintained, in view of their well-being and quality of life.…”

Section: Discussionmentioning

confidence: 99%

Functional capacity and risk of falls in the elderly

Lima¹,

Pimenta²,

Bezerra³

et al. 2017

Rev Rene

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Objective: to evaluate the functional capacity and the risk of falls in elderly people. Methods: cross-sectional study with 122 elderly subjects. Data collection was done through an interview with aid of the instruments Fall Risck Score and Functional Independence Measure. The Pearson's Chi-square test and Fisher's exact test were used to analyze the data for association of variables. Results: a total of 72.1% of elderly had already suffered a fall and 96.7% had a Functional Independence Measure greater than 104, being functionally independent. Conclusion: the elderly presented complete independence in most of the items related to daily life activities; however, they are at risk of falls related to other factors, such as possible previous history of this event. According to the Functional Independence Measure, the main points of dependence are directly related to poor social conditions. Communication, problem solving and memory were the most affected aspects. Descriptors: Nursing; Aging; Health of the Elderly; Accidental Falls; Activities of Daily Living. Objetivo: avaliar a capacidade funcional e o risco de quedas em pessoas idosas. Métodos: pesquisa transversal com 122 idosos. A coleta de dados ocorreu por meio de entrevista com os instrumentos Fall Risck Score e Medida de Independência Funcional. Para análise dos dados foram utilizados os testes Qui-quadrado de Pearson e Exato de Fisher para associação das variáveis. Resultados: 72,1% dos idosos já sofreram alguma queda e 96,7% apresentaram Medida de Independência Funcional superior a 104, sendo independentes funcionalmente. Conclusão: os idosos apresentaram independência completa na maioria dos itens referentes às atividades de vida diária, no entanto, possuem risco de quedas relacionado a outros fatores, como possível histórico anterior deste evento. De acordo com a Medida de Independência Funcional, os principais pontos de dependência estão relacionados diretamente às más condições sociais. Comunicação, Resolução de Problemas e Memória foram os requisitos mais afetados. Descritores: Enfermagem; Envelhecimento; Saúde do Idoso; Acidentes por Quedas; Atividades Cotidianas.

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The influence of physical function on the risk of falls among adults with rheumatoid arthritis

Cited by 4 publications

References 22 publications

Evaluation of peripheral neuropathy in lower limbs of patients with rheumatoid arthritis and its relation to fall risk

Evaluation of peripheral neuropathy in lower limbs of patients with rheumatoid arthritis and its relation to fall risk

Patients with Systemic Lupus Erythematosus Have Increased Risk of Short-term Adverse Events after Total Hip Arthroplasty

Functional capacity and risk of falls in the elderly

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